AR 05/21/2018
Sacramento City College
ENGCW, ENGWR, ENGED, MATH, AND STAT PREREQUISITE EQUIVALENCY FORM
INSTRUCTIONS
This form is used for clearing prerequisites, using external credits. Official transcripts or Official AP Scores must be
attached or on file at the Admissions and Records Office. Please complete a separate form for each prerequisite.
Student ID: ________________________ Phone: (______)_________________
Student Name: _____________________________________________ Email: _________________________
Semester
Year
Fall Spring Summer
I WANT TO ENROLL IN THE FOLLOWING SCC COURSE:
THE SCC PREREQUISITE FOR THIS COURSE IS:
Course Name / Number (STAT 300)
Course Name / Number (MATH 120)
**Note: Students who have completed or are currently in progress to complete the prerequisite course within the Los Rios Community College
District will have the ability to enroll in the next level course without a petition.
I HAVE COMPLETED AN EQUIVALENT COURSE TO THE SCC PREREQUISITE:
Semester/Year
Course Name
Units
Grade C” or better
STUDENT SIGNATURE
DATE
OFFICE USE ONLY
Official Transcript received by A&R not in OnBase (pending evaluation)
Official Transcript verified in OnBase
Course Description Attached
Milestone Created
Transfer Credit Posted
College and prerequisite course is on the LRCCD External Equivalency List:
Submit form directly to SCC Admissions and Records Office.
Evaluator Signature
Date
College and prerequisite course is NOT on the LRCCD External Equivalency List:
Submit form directly to SCC
Admissions and Records Office and provide the following information of the prerequisite course completed
with a “C” or better including (1) the course description from the college catalog (2) academic transcript.
Please allow 5 working days for processing
Approved
Denied
Faculty Signature Date
Faculty/Dean Signature Date
A&R Staff Initials / Date:
click to sign
signature
click to edit